From Immunization Action Coalition <[email protected]>
Subject IAC Express #1447
Date September 18, 2019 12:14 PM
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Issue 1447: September 18, 2019

-TOP STORIES-
* CDC reports increases in cases of hepatitis A, B, and C during 2017 were mainly due to unsafe drug injections and lack of vaccine protection
* California governor signs bill toughening medical vaccine exemptions
* Hawaii adds Tdap, HPV, and MenACWY to list of immunizations required by July 2020
* IAC updates Ask the Experts: Influenza Q&A web page
* CDC publishes "Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities—New York City, 2018" in this week's MMWR
* August's Technically Speaking column by IAC Executive Director Dr. Deborah Wexler is titled "Newly designed and easy to navigate—visit Give2MenACWY.org to enhance your efforts to increase rates for MenACWY booster doses and other adolescent vaccinations"
* IAC Spotlight! IAC’s "Package Inserts & FDA Product Approvals" web page on immunize.org is a popular destination for finding FDA-approved language for all vaccines
* No new measles cases reported to CDC in week ending September 12; total cases for 2019 remain at 1,241 across 31 states

-IAC HANDOUTS-
* IAC updates its educational resource “Influenza Vaccine Products for the 2019–2020 Influenza Season”
* IAC revises “Standing Orders for Administering Influenza Vaccine to Children and Teens” and “Standing Orders for Administering Influenza Vaccine to Adults"
* IAC updates "How to Administer Intramuscular and Intranasal Influenza Vaccines"
* IAC revises "Guide for Determining the Number of Doses of Influenza Vaccine to Give to Children Age 6 Months through 8 Years"
* IAC updates "Influenza Vaccination of People with a History of Egg Allergy"
* IAC updates “Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination” and "Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination”
* Available now! Seven translations of IAC's recently updated “Screening Checklist for Contraindications to Vaccines for Children and Teens” and “Screening Checklist for Contraindications to Vaccines for Adults”
* IAC posts Spanish translation of its handout "Hepatitis B Shots Are Recommended for All New Babies"

WORLD NEWS
* WHO and European Commission join forces to promote the benefit of vaccines

-FEATURED RESOURCES-
* IAC’s new FLU VACCINE buttons and stickers flew out the door! But don't worry. We ordered more. Stock up for flu season!
* Hepatitis B Foundation releases new #justB video titled "DeWayne's Story" to empower people affected by hepatitis B, raise awareness, and end stigma
* The new edition of The Vaccine Handbook: A Practical Guide for Clinicians app is now available free of charge from the Pediatric Infectious Diseases Society
* IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

-JOURNAL ARTICLES AND NEWSLETTERS-
* September's Parents PACK newsletter from Vaccine Education Center features article clarifying the position of Pontifical Academy for Life on fetal cells and two other important stories

-EDUCATION AND TRAINING-
* AAP and CDC are collaborating to present a free webinar titled "2019–2020 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers" to be aired September 26
* CDC’s Current Issues in Immunization webinar titled “Influenza Update–2019–2020” is scheduled for October 2
* Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics will conclude on September 25; “Influenza” is the topic on September 25


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-TOP STORIES-
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CDC REPORTS INCREASES IN CASES OF HEPATITIS A, B, AND C DURING 2017 WERE MAINLY DUE TO UNSAFE DRUG INJECTIONS AND LACK OF VACCINE PROTECTION

On September 10, CDC published a comprehensive report titled Surveillance for Viral Hepatitis—United States, 2017 ([link removed]) detailing increases in the number of cases of hepatitis A, B, and C during 2017. CDC attributed the increase in cases mainly to unsafe drug injections and low vaccination coverage among populations for whom vaccination is recommended. Vaccines continue to be the best way to prevent both hepatitis A and hepatitis B infections. Access the full report below.

* Surveillance for Viral Hepatitis—United States, 2017 ([link removed]) (HTML)
* Surveillance for Viral Hepatitis—United States, 2017 ([link removed]) (PDF)

Related Links
* National Viral Hepatitis Roundtable press release: Updated national surveillance data demonstrate increases in new cases of viral hepatitis A, B, and C driven by the opioid crisis, and racial disparities in the number of deaths. ([link removed]) (9/1019)
* Hepatitis B Foundation: Hepatitis B Foundation Calls for Increased Resources for Hepatitis B Prevention in Response to CDC 2017 Surveillance Data Report ([link removed]) (9/11/19)
* Hep B United ([link removed]) website


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CALIFORNIA GOVERNOR SIGNS BILL TOUGHENING MEDICAL VACCINE EXEMPTIONS

On September 9, California Governor Gavin Newsom signed a bill limiting medical exemptions ([link removed]) for vaccines for children attending school. He also signed a bill that would allow a child with a medical exemption before the new law goes into effect to continue to be enrolled until the child enters the next grade span (i.e., birth to preschool, kindergarten, grades 1–6, and grades 7–12). These laws will go into effect on January 1, 2020.

Related Links
* California Immunization Coalition: Senate Bills 276 and 714—Passed and Signed! ([link removed])
* CNN: California Governor Signs Bills Limiting Vaccine Exemptions ([link removed]) (9/10/19)
* IAC's State Information web section ([link removed]) , including health department websites and school immunization requirements


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HAWAII ADDS TDAP, HPV, AND MENACWY TO LIST OF IMMUNIZATIONS REQUIRED BY JULY 2020

On August 27, the Hawaii Department of Health issued a press release ([link removed]) announcing new school immunization requirements that would begin July 1, 2020. The additional vaccinations include Tdap, HPV, and MenACWY for all incoming seventh-grade students.

Related Links
* Hawaii Department of Health press release: Hawai‘i Department of Health Announces New School Immunization Requirements to Begin July 1, 2020 ([link removed]) (8/27/19)
* Hawaii Department of Health: 2020–2021 School Health Requirements ([link removed])
* IAC's State Information web section, ([link removed]) including health department websites and school immunization requirements


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IAC UPDATES ASK THE EXPERTS: INFLUENZA Q&A WEB PAGE

IAC and CDC recently reviewed and revised the Ask the Experts: ([link removed]) I ([link removed]) nfluenza ([link removed]) web page. Updates included changes in the 2019–20 influenza vaccine strains and changes in vaccines available for young children and the dosing for vaccination of children age 6–35 months old.

IAC’s Ask the Experts web section ([link removed]) is a compilation of common as well as challenging questions and answers (Q&As) about vaccines and their administration. Answers are provided by Andrew T. Kroger, MD, MPH; Mark S. Freedman, DVM, MPH, DACVPM; Tina S. Objio, MSN, MHA, RN; Candice L. Robinson, MD, MPH; Raymond A. Strikas, MD, MPH, FACP, FIDSA; and JoEllen Wolicki, BSN, RN, all from the National Center for Immunization and Respiratory Diseases, CDC.

Some of the most frequently visited sections of Ask the Experts Q&As include the following:
* Ask the Experts: Zoster ([link removed]) (updated July 11, 2019)
* Ask the Experts: Measles, Mumps, and Rubella ([link removed])
* Ask the Experts: ([link removed]) Diphtheria, Tetanus, Pertussis ([link removed])
* Ask the Experts: ([link removed]) Hepatitis A ([link removed])
* Ask the Experts: Hepatitis B ([link removed])
* Ask the Experts: Human Papillomavirus (HPV) ([link removed])

Each year, IAC Express publishes five special editions of Ask the Experts Q&As answered by CDC experts. You can access the four most recent IAC Express Ask the Experts sets of Q&As from the main web page of Ask the Experts ([link removed]) , in the right-hand column.

Related Links
* IAC's Ask the Experts: Influenza ([link removed]) ([link removed]) web page
* IAC's Ask the Experts main page ([link removed]) , linking to 27 topics, including more than 1,000 Q&As


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CDC publishes "Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities—New York City, 2018" in this week's MMWR

CDC published Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities—New York City, 2018 ([link removed]) in the September 13 issue of MMWR (pages 791–792). A summary for the press is reprinted below.

New York City has experienced the largest measles outbreak in the United States since 1992. The NYC Department of Health and Mental Hygiene (DOHMH) surveyed outpatient health care facilities that reported one or more suspected measles cases during September 30–December 10, 2018 to understand infection control procedures in outpatient facilities and to share best practices. The essential common element in the implemented strategies was early awareness that a patient might have measles, optimally before they enter the health care facility. This highlights the importance of performing measles screening and rapidly identifying patients with suspected measles.
Access the full report:
* Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities—New York City, 2018 ([link removed]) (HTML)
* Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities—New York City, 2018 ([link removed]) (PDF)

Related Link
* MMWR main page ([link removed]) provides access to MMWR Weekly, MMWR Recommendations and Reports, MMWR Surveillance Summaries, and MMWR Supplements


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August's Technically Speaking column by IAC Executive Director Dr. Deborah Wexler is titled “Newly designed and easy to navigate—visit Give2MenACWY.org to enhance your efforts to increase rates for MenACWY booster doses and other adolescent vaccinations”

Technically Speaking ([link removed]) is a monthly column written by IAC Executive Director Dr. Deborah Wexler for Vaccine Update ([link removed]) , a monthly e-newsletter from the Vaccine Education Center (VEC) at Children's Hospital of Philadelphia (CHOP). The column covers practical topics in immunization, such as vaccine administration, immunization scheduling, vaccine storage and handling, and vaccine recommendations.

August's column is titled Newly designed and easy to navigate—visit Give2MenACWY.org to enhance your efforts to increase rates for MenACWY booster doses and other adolescent vaccinations ([link removed]) and is reprinted below.

Newly designed and easy to navigate—visit Give2MenACWY.org to enhance your efforts to increase rates for MenACWY booster doses and other adolescent vaccinations

Published August 2019

The Immunization Action Coalition (IAC) has announced a major upgrade to its collaborative website www.Give2MenACWY.org ([link removed]) promoting the importance of receiving a booster dose of meningococcal ACWY (MenACWY) vaccine.

Aimed at healthcare professionals, the site has been revised to incorporate newly updated materials and to highlight the importance of all recommended vaccines for 16-year-olds. A simplified navigation structure makes locating information a breeze.

The colorful new Give2MenACWY.org ([link removed]) website is divided into five easy-to-access sections:
* Vaccinate Teens ([link removed]) – The tools included on this web page offer helpful information on teen vaccination schedules and tips for improving adolescent immunization rates.
* Give 2 Doses ([link removed]) – Fewer than half of teens have received the recommended second dose of MenACWY vaccine. This web page offers tools to help providers improve second dose coverage.
* 16-year-old Visit ([link removed]) – These resources help both providers and their patients remember the important vaccines recommended for 16-year-olds.
* Tools for Providers ([link removed]) – These tools from CDC, IAC, and other organizations explain meningococcal ACWY vaccine recommendations and assist in improving adolescent coverage for all recommended vaccines.
* Resources ([link removed]) – This section contains a wealth of information to assist provider efforts to improve adolescent immunization rates. The materials are subdivided into the following subsections:

+ Print materials ([link removed])
+ Links to organizations ([link removed]) involved in adolescent immunization
+ Personal stories ([link removed]) about the importance of vaccination
+ Additional resources ([link removed]) of interest

Additional time savings are provided by the site’s single location where all website materials are listed ([link removed]) according to whether they are primarily of interest to providers or to patients/parents. Other sections relate to general adolescent immunization, as well as meningococcal disease and vaccine information.

Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and hopefully deploying) its terrific resources. The site is brought to you by IAC, in collaboration with Sanofi Pasteur.

Related Links
* Give2MenACWY.org website ([link removed])
* “Dear Colleague” joint letter from AAFP, AAP, ACHA, ACOG, APhA, SAHM, and IAC about the importance of the 16-year-old visit ([link removed])
* Press release on the “Dear Colleague” letter ([link removed]) from six professional societies and IAC about the importance of the 16-year-old visit

* American Academy of Family Physicians press release on “Dear Colleague” joint letter ([link removed])
* American College of Obstetrics and Gynecology announces press release on “Dear Colleague” letter ([link removed])

* Ask the Experts: MenACWY ([link removed])
* You're 16: We Recommend These Vaccines for You ([link removed])
* Algorithm for MenACWY Immunization in Adolescents 11–18 Years of Age ([link removed])
* Top 10 Ways to Improve Adolescent Immunization Rates ([link removed])
* Society for Adolescent Health and Medicine policy statement: Establishing an Immunization Platform for 16-year-olds in the United States ([link removed])

You can access the current and past issues of Technically Speaking in the following ways: from a box in the middle of the immunize.org ([link removed]) home page, from the "Guide to immunize.org" at the bottom of every web page, or by going directly to the www.immunize.org/technically-speaking main page.

Related Links
* IAC’s Technically Speaking ([link removed]) main page
* To subscribe to VEC's Vaccine Update ([link removed]) e-newsletter, go to the sign-up form ([link removed])


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IAC SPOTLIGHT! IAC’S \"PACKAGE INSERTS & FDA PRODUCT APPROVALS\" WEB PAGE ON IMMUNIZE.ORG IS A POPULAR DESTINATION FOR FINDING FDA-APPROVED LANGUAGE FOR ALL VACCINES

Immunization providers around the country have given IAC feedback that the Package Inserts & FDA Product Approvals ([link removed]) web page on immunize.org ([link removed]) is one of the most valuable resources for busy clinics that administer vaccines. This IAC web page provides direct links to the package inserts for each vaccine.

Check this page out and see how easy it is to access the current information for any vaccine! The direct link is www.immunize.org/fda.

Related Link
* Package Inserts & FDA Product Approvals ([link removed]) web page


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NO NEW MEASLES CASES REPORTED TO CDC IN WEEK ENDING SEPTEMBER 12; TOTAL CASES FOR 2019 REMAIN AT 1,241 ACROSS 31 STATES

CDC has posted its latest update on 2019 measles cases in the U.S. on its Measles Cases and Outbreaks ([link removed]) web page, showing that no new cases have been reported since last week. The web page shows a preliminary estimate of 1,241 cases across 31 states as of September 12. This year's total is the greatest number of cases reported in the U.S. since 1992 and since measles was declared eliminated from the U.S. in 2000.

Access additional information about U.S. measles cases in 2019 on CDC's Measles Cases and Outbreaks ([link removed]) web page.

Related Links
* CDC's Measles (Rubeola) ([link removed]) web section
* CDC's Measles Outbreak Toolkit for Healthcare Providers ([link removed])
* CDC's Measles Outbreak Toolkit for Local/State Health Departments ([link removed])
* IAC's Vaccines: ([link removed]) Measles ([link removed]) web page
* IAC Express Special Edition—Ask the Experts: Issue 1428 (5/30/19) ([link removed])
* IAC's Ask the Experts: Measles, Mumps, and Rubella ([link removed]) web page
* IAC's Handouts: Measles ([link removed]) web page
* IAC's Measles, Mumps, and Rubella VIS ([link removed]) web page
* IAC's Talking about Vaccines: Religious Concerns ([link removed]) web page
* IAC's Talking about Vaccines: MMR Vaccine ([link removed]) web page


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-IAC HANDOUTS-
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IAC UPDATES ITS EDUCATIONAL RESOURCE "INFLUENZA VACCINE PRODUCTS FOR THE 2019–2020 INFLUENZA SEASON"

IAC recently updated its educational resource Influenza Vaccine Products for the 2019–2020 Influenza Season ([link removed]) . Changes were made to incorporate CVX codes, the 0.25 mL Afluria Quadrivalent option for children 6–35 months old, and the option for dosing of Fluzone Quadrivalent at either 0.25 mL or 0.5 mL for children 6–35 months of age.

Related Links
* View more than 300 CDC-reviewed, ready-to-print IAC Educational Materials for Patients and Staff ([link removed])
* View IAC's handouts sorted by topic ([link removed])


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IAC REVISES “STANDING ORDERS FOR ADMINISTERING INFLUENZA VACCINE TO CHILDREN AND TEENS” AND “STANDING ORDERS FOR ADMINISTERING INFLUENZA VACCINE TO ADULTS”

IAC recently revised the following two standing orders templates related to influenza vaccination:

1. Standing Orders for Administering Influenza Vaccine to Children and Teens ([link removed]) : Changes were made to add a 0.5 mL dose of Fluzone and also a 0.25 mL dose of Afluria to the influenza vaccine options for children age 6–35 months, to address a third category of young children that may need a second dose of influenza vaccine, to add baloxavir as another influenza antiviral medication that would be a contraindication for LAIV, and to update links to several references.

2. Standing Orders for Administering Influenza Vaccine to Adults ([link removed]) : Changes were made to add baloxavir as another influenza antiviral that would be a contraindication for LAIV and to update links to several references.

Related Links
* IAC’s Standing Orders for Administering Influenza Vaccine to Children and Teens ([link removed])
* IAC’s Standing Orders for Administering Influenza Vaccine to Adults ([link removed])
* Visit IAC's Standing Orders Templates for Administering Vaccines ([link removed]) web page to access standing orders for administering all routinely recommended vaccines
* View more than 300 CDC-reviewed, ready-to-print IAC Educational Materials for Patients and Staff ([link removed])


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IAC UPDATES "HOW TO ADMINISTER INTRAMUSCULAR AND INTRANASAL INFLUENZA VACCINES"

IAC recently updated its educational resource How to Administer Intramuscular and Intranasal Influenza Vaccines ([link removed]) . Changes included using the terms "dominant" and "non-dominant" hand instead of "right" and "left" hand in the directions.

[link removed]

Related Links
* IAC's How to Administer Intramuscular and Intranasal Influenza Vaccines ([link removed])
* Visit IAC's Clinic Tools: Administering Vaccines ([link removed]) web page to access Standing Orders Templates for Vaccine Administration ([link removed]) for all routinely recommended vaccines
* Visit IAC's What's New at IAC: Handouts for Patients & Staff ([link removed]) web page


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IAC REVISES "GUIDE FOR DETERMINING THE NUMBER OF DOSES OF INFLUENZA VACCINE TO GIVE TO CHILDREN AGE 6 MONTHS THROUGH 8 YEARS"

IAC revised its Guide for Determining the Number of Doses of Influenza Vaccine to Give to Children Age 6 Months through 8 Years ([link removed]) by addressing a third category of young children who may need a second dose, i.e., children who turned 9 years old during the current season and already received one influenza vaccine dose during the current season when they were 8 years old. The guide advises healthcare providers: “Administer a second dose to a 9-year-old child who received their first dose in the current season when they were age 8 years, if they haven’t or don’t know if they have received 2 doses in prior years.”

Related Links
* IAC's Influenza Handouts ([link removed]) web page
* IAC's Vaccine Recommendations ([link removed]) web page


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IAC UPDATES "INFLUENZA VACCINATION OF PEOPLE WITH A HISTORY OF EGG ALLERGY"

IAC has updated Influenza Vaccination of People with a History of Egg Allergy ([link removed]) . Changes included a clarifying statement regarding trace amounts of egg protein in its first bulleted statement: "Most influenza vaccines, with the exception of RIV4 and ccIIV4, are cultured in eggs and might contain trace amounts of egg protein (e.g., ovalbumin)."

Related Links
* Visit IAC's Contraindication and Precautions ([link removed]) web page
* IAC's Ask the Experts "Influenza" ([link removed]) web page


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IAC UPDATES “SCREENING CHECKLIST FOR CONTRAINDICATIONS TO INACTIVATED INJECTABLE INFLUENZA VACCINATION” AND “SCREENING CHECKLIST FOR CONTRAINDICATIONS TO LIVE ATTENUATED INTRANASAL INFLUENZA VACCINATION”

IAC recently updated its two screening checklists for contraindications for influenza vaccination: Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination ([link removed]) and Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination ([link removed]) .

1. Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination ([link removed]) : Changes were made to reference the new season (i.e., 2019–2020), and to update links to references.

2. Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination ([link removed]) : Changes were made to remove anemia or another blood disorder and to add "cochlear implant, spinal fluid leak, or no spleen" to question #5 and its response, to indicate a lower age for children on aspirin or salicylate-containing medicine, to add baloxavir as another influenza antiviral that would be a contraindication for LAIV, and to update links to references.

Related Links
* IAC's Clinic Tools: Screening for Vaccine Contraindications and Precautions ([link removed]) web page
* IAC's Screening Checklists ([link removed]) web page
* View more than 300 CDC-reviewed, ready-to-print IAC Educational Materials for Patients and Staff ([link removed])


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AVAILABLE NOW! SEVEN TRANSLATIONS OF IAC'S RECENTLY UPDATED “SCREENING CHECKLIST FOR CONTRAINDICATIONS TO VACCINES FOR CHILDREN AND TEENS” AND “SCREENING CHECKLIST FOR CONTRAINDICATIONS TO VACCINES FOR ADULTS”

IAC posted new Arabic, Chinese-Traditional, French, Korean, Russian, Spanish, and Vietnamese translations of its recently updated Screening Checklist for Contraindications to Vaccines for Children and Teens ([link removed]) and Screening Checklist for Contraindications to Vaccines for Adults ([link removed]) . Access the new translated versions below.

Screening Checklist for Contraindications to Vaccines for Children and Teens
* Arabic-language version ([link removed])
* Chinese-Simplified version ([link removed])
* French-language version ([link removed])
* Korean-language version ([link removed])
* Russian-language version ([link removed])
* Spanish-language version ([link removed])
* Vietnamese-language version ([link removed])

Screening Checklist for Contraindications to Vaccines for Adults
* Arabic-language version ([link removed])
* Chinese-Traditional version ([link removed])
* French-language version ([link removed])
* Korean-language version ([link removed])
* Russian-language version ([link removed])
* Spanish-language version ([link removed])
* Vietnamese-language version ([link removed])

Related Links
* Access IAC's Screening Checklist ([link removed]) s web page
* Access all Arabic-language versions of IAC materials ([link removed])
* Access all Chinese-language versions of IAC materials ([link removed])
* Access all French-language versions of IAC materials ([link removed])
* Access all Korean-language versions of IAC materials ([link removed])
* Access all Russian-language versions of IAC materials ([link removed])
* Access all Spanish-language versions of IAC materials ([link removed])
* Access all Vietnamese-language versions of IAC materials ([link removed])


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IAC POSTS SPANISH TRANSLATION OF ITS HANDOUT "HEPATITIS B SHOTS ARE RECOMMENDED FOR ALL NEW BABIES"

IAC has posted the Spanish translation for the handout titled Hepatitis B Shots are Recommended for All New Babies. ([link removed])

Access the Spanish-language version: Se recomienda vacunar a todo recién nacido contra la hepatitis B. La vacuna contra la hepatitis B le ayuda a proteger el futuro de su bebé. ([link removed])

Related Links
* IAC's Spanish Translations of IAC Materials web page ([link removed])
* View more than 300 CDC-reviewed, ready-to-print IAC Educational Materials for Patients and Staff ([link removed])
* View IAC's handouts sorted by topic ([link removed])


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WORLD NEWS
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WHO AND EUROPEAN COMMISSION JOIN FORCES TO PROMOTE THE BENEFIT OF VACCINES

The World Health Organization (WHO) and the European Commission issued a joint press release ([link removed]) on September 12 to publicize their combined efforts to fight the spread of vaccine-preventable diseases through intensified global action. They have been co-hosting the world's first Global Vaccination Summit, based in Brussels. A statement by Jean-Claude Juncker, President of the European Commission, excerpted from the press release, is reprinted below.

“It is inexcusable that in a world as developed as ours, there are still children dying of diseases that should have been eradicated long ago. Worse, we have the solution in our hands but it is not being put to full use. Vaccination already prevents 2–3 million deaths a year and could prevent a further 1.5 million if global vaccination coverage improved. Today's summit is an opportunity to address this gap. The Commission will continue to work with the EU's Member States in their national efforts and with our partners here today. This is a global challenge we must tackle together, and now.”

Read the complete press release: Vaccination: European Commission and World Health Organization Join Forces to Promote the Benefits of Vaccines ([link removed]) (9/12/19)


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FEATURED RESOURCES
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IAC’S NEW FLU VACCINE BUTTONS AND STICKERS FLEW OUT THE DOOR! BUT DON'T WORRY. WE ORDERED MORE. STOCK UP FOR FLU SEASON!

Everyone wants to display flu shot support—don’t be left out! Jump-start your preparations for the 2019–20 influenza season by ordering IAC's new “FLU VACCINE” buttons and stickers from SHOP IAC ([link removed]) . These popular new resources are modeled after “I Voted” stickers, which are given to voters in many states as they leave the polls on Election Day. The flu vaccine buttons and stickers are bright red to help broadcast your important vaccination message. And the cost is low!

[link removed]

“FLU VACCINE” BUTTONS

Demonstrate your clinic-wide support for protecting everyone from influenza by purchasing buttons for all of your staff to wear. Measuring 1.25" across, the button is understated in size but carries a bold message! Brightly colored red, round button with white text and a metal pin that clasps on the back.

Pin on your lab coat, uniform, other clothing, tote bag, or backpack to show support for influenza vaccination. Wear it when flu vaccine is available in your clinic to remind patients and the public to protect themselves from influenza.

Buttons are delivered in bags of 10 buttons per bag. Click here for pricing and ordering information ([link removed]) .

“FLU VACCINE” STICKERS

These brightly colored red, round stickers measure 1.5" across. Printed on Avery labels, they adhere well to clothing and have an easy-peel-off back.

Wearing these brightly colored stickers, your patients will be letting their communities know that influenza vaccination is important.

Suitable for clinic staff, too! Urge all staff to wear them at work during flu vaccination season. This sends a powerful reminder to patients to get vaccinated.

Stickers are delivered to you cut individually (not on rolls)—available in bundles of 100. Click here for pricing and ordering information ([link removed]) .

Related Links
* Visit the Shop IAC web section ([link removed])
+ For IAC’s Immunization Record Cards for Children/Teens, Adults, and Lifetime ([link removed])
+ For Immunization Techniques: Best Practices with Infants, Children, and Adults DVD ([link removed])


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HEPATITIS B FOUNDATION RELEASES NEW #JUSTB VIDEO TITLED "DEWAYNE'S STORY" TO EMPOWER PEOPLE AFFECTED BY HEPATITIS B, RAISE AWARENESS, AND END STIGMA

The Hepatitis B Foundation continues its storytelling campaign: #justB: Real People Sharing their Stories of Hepatitis B ([link removed]) .

Watch the August video, DeWayne's Story ([link removed]) , about a man who became infected with hepatitis B as a child from a blood transfusion following an accident. At that time, the blood supply wasn't tested for hepatitis B. He first became symptomatic at age 7 and eventually became acutely ill. At that point, he got insurance through his disability and agreed to medical care. DeWayne began to feel better and now says he's looking forward to seeing his son graduate from high school.

Watch this and other compelling videos by going to the Hepatitis B Foundation's web section: #justB: Real People Sharing their Stories of Hepatitis B ([link removed]) .

Related Links
* #justB: Real People Sharing their Stories of Hepatitis B ([link removed])
* Hepatitis B Foundation ([link removed])


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The new edition of The Vaccine Handbook: A Practical Guide for Clinicians app is now available free of charge from the Pediatric Infectious Diseases Society
The Pediatric Infectious Diseases Society (PIDS) is pleased to make available a new edition of The Vaccine Handbook app ([link removed]) . This mobile app for iOS devices contains the 2018 (7th) edition of The Vaccine Handbook: A Practical Guide for Clinicians (also known as The Purple Book), by Dr. Gary S. Marshall, professor of pediatrics at the University of Louisville School of Medicine. This authoritative, practical tool is available free of charge from the Apple iTunes App Store (purchase of the print edition is not required).

Please help PIDS spread the word to members of your organization, partner organizations, vaccine providers, trainees, and others.

The Vaccine Handbook is a readable, comprehensive source of up-to-date information for vaccine providers and educators. It draws together the latest vaccine science and guidance into a concise, user-friendly, practical resource for the private office, public health clinic, academic medical center, and hospital. The app is fully searchable, allows for bookmarking, highlighting and annotation, and contains hyperlinks to useful content on the Internet. It includes:
* Scientific foundations of vaccinology
* Information on every vaccine licensed in the United States
* The rationale behind authoritative vaccine recommendations
* Contingencies encountered in everyday practice
* An entire chapter on addressing vaccine concerns
* Background on vaccine infrastructure and policy-making
* Standards and regulations
* Office logistics, billing procedures, and much more

The App may be found by searching the App Store for “The Vaccine Handbook App” or clicking on the following link: [link removed].

Additional information about The Purple Book is available through the publisher, Professional Communications, Inc. (West Islip, NY) at [link removed].


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IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

In late 2017, the Immunization Action Coalition (IAC) announced the publication of its new book, Vaccinating Adults: A Step-by-Step Guide (Guide) ([link removed]) .

[link removed]

This completely updated "how to" guide on adult immunization provides easy-to-use, practical information covering essential adult immunization activities. It helps vaccine providers enhance their existing adult immunization services or introduce them into any clinical setting. Topics include:
* setting up for vaccination services,
* storing and handling vaccines,
* deciding which people should receive which vaccines,
* administering vaccines,
* documenting vaccinations (including legal issues), and
* understanding financial considerations and billing information.

In addition, the Guide is filled with hundreds of web addresses and references to help providers stay up to date on the latest immunization information, both now and in the future.

The Guide is available to download/print either by chapter or in its entirety free of charge at www.immunize.org/guide. The downloaded version is suitable for double-sided printing. The National Vaccine Program Office and CDC both supported the development of the Guide and provided early technical review.

The Guide is a uniquely valuable resource to assist providers in increasing adult immunization rates. Be sure to get a copy today!

Related Links
* See Vaccinating Adults: A Step-by-Step Guide ([link removed]) and all its content ([link removed])
* Free download of entire Guide (10.6 MB PDF) ([link removed])
* View the Table of Contents and individual chapters in PDF format:
– Table of Contents ([link removed])
– Step 1: Getting Started ([link removed])
– Step 2: Setting Up for Vaccination Services ([link removed])
– Step 3: Vaccine Storage and Handling ([link removed])
– Step 4: Deciding Whom to Vaccinate ([link removed])
– Step 5: Administering Vaccines ([link removed])
– Step 6: Documentation and Related Issues ([link removed])
– Step 7A: Financial Considerations ([link removed])
– Step 7B: How to Bill for Adult Immunizations ([link removed])
* Promotional flyer for Vaccinating Adults: A Step-by-Step Guide ([link removed])
* IAC’s educational materials (handouts) onadult immunization ([link removed])


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-JOURNAL ARTICLES AND NEWSLETTERS-
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SEPTEMBER'S PARENTS PACK NEWSLETTER FROM VACCINE EDUCATION CENTER FEATURES ARTICLE CLARIFYING THE POSITION OF PONTIFICAL ACADEMY FOR LIFE ON FETAL CELLS AND TWO OTHER IMPORTANT STORIES

Parents PACK (Possessing, Accessing, and Communicating Knowledge about vaccines) from the Vaccine Education Center at Children's Hospital of Philadelphia offers an electronic newsletter for parents. The September issue ([link removed]) features an article clarifying the position of the Pontifical Academy for Life concerning fetal cells in vaccines and the importance of vaccines. The issue also includes an article discussing the safety and effectiveness of HPV vaccine in preventing cancer and another on Pinterest now providing vaccine information only from specific, credible public health organizations. Healthcare providers should check out the issue and encourage parents to subscribe to the free Parents PACK newsletter.

To find more information about their resources and subscribe to their newsletter, visit the Parents PACK web page ([link removed]) .

Related Links
* Parents PACK ([link removed]) home page
* Vaccine Education Center ([link removed]) website
* Vaccine Education Center's Vaccine Resources ([link removed]) web section


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-EDUCATION AND TRAINING-
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AAP AND CDC ARE COLLABORATING TO PRESENT A FREE WEBINAR TITLED "2019–2020 RECOMMENDATIONS FOR INFLUENZA PREVENTION AND TREATMENT IN CHILDREN: AN UPDATE FOR PEDIATRIC PROVIDERS" TO BE AIRED SEPTEMBER 26=

The American Academy of Pediatrics (AAP) and CDC are collaborating to present a free Clinical Outreach and Communication Activity (COCA) webinar titled 2019–2020 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers ([link removed]) on September 26 from 2:00–3:00 p.m. (ET). The presenters will be Flor Munoz, MD, MSc, FAAP, member of Baylor College of Medicine, AAP Committee on Infectious Diseases; and Fatimah Dawood, MD, medical officer, Epidemiology and Prevention Branch, CDC National Center for Immunization and Respiratory Diseases, Influenza Division.

During this COCA call, the presenters will discuss strategies pediatric providers can use to improve influenza prevention and control in children for the 2019–2020 influenza season. The presenters also will:
* examine data from the 2018–2019 U.S. influenza season to inform preparations for the 2019–2020 influenza season,
* highlight key recommendations in the AAP influenza policy statement, “Recommendations for Prevention and Control of Influenza in Children, 2019–2020” and in the CDC Advisory Committee on Immunization Practices’ document, “Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2019–2020 Influenza Season,” and
* discuss recommendations for using influenza antivirals in children.

Access more information about this webinar, including how to register: 2019–2020 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers ([link removed]) . ([link removed]) Free continuing education credits are available.

Related Link
* COCA web section ([link removed])


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CDC’s Current Issues in Immunization webinar titled “Influenza Update–2019–2020” is scheduled for October 2

CDC will present a Current Issues in Immunization NetConference ([link removed]) on October 2 at 12:00 p.m. (ET). The topic will be "Influenza Update—2019–2020," and the speaker will be Lisa Grohskopf, MD, MPH, medical officer, Influenza Division, NCIRD, CDC.

Immunization NetConferences are live, 1-hour presentations combining an online visual presentation with simultaneous audio via telephone conference call, plus a live question and answer session. On-demand replays and presentations will be available shortly after each event.

Registration is required ([link removed]) and limited. Should you miss the live event, you can watch the archived version when it is posted later on CDC’s website.

Related Link
* Current Issues in Immunization NetConference ([link removed]) web section


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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics will conclude on September 25; “Influenza” is the topic on September 25
On September 25, CDC's will conclude its 15-part, live CE-accredited ([link removed]) series of 1-hour webinars ([link removed]) designed to provide a chapter-by-chapter overview of the 13th edition of Epidemiology and Prevention of Vaccine-Preventable Diseases ([link removed]) (also known as "The Pink Book"). The webinar series has provided an overview of vaccines and the diseases they prevent, general recommendations for vaccines, vaccination principles, and immunization strategies for providers.

All sessions begin at 12:00 p.m. (ET). The final webinar of this series will be:
* September 25: Influenza

A recording of the session will be available online within 2 weeks after the webinar.

Information on registration and program details are available on CDC's Pink Book Webinar Series ([link removed]) web page.

All the sections of "The Pink Book" (i.e., chapters, appendices, 2017 supplement) are available to download at no charge at www.cdc.gov/vaccines/pubs/pinkbook/index.html. You can also order this resource from the Public Health Foundation ([link removed]) for $40 plus shipping and handling.

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Video of the Week
[link removed]
Pioneering the Use of Fetal Cells to Make Rubella Vaccine: Dr. Stanley Ploktin describes how witnessing devastating birth defects, miscarriages, and pregnancy terminations due to rubella in the 1960s led him to develop a vaccine to against it. He explains why he believed using fetal cells was the best choice at that time. Because of the vaccine, rubella was eliminated from the U.S. in 2005. (Source: Vaccine Makers Project)

Visit the VOTW archive ([link removed])

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Follow Us
[link removed]
[link removed]
[link removed]

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Technically Speaking
[link removed]
Read Dr. Wexler's column for the Vaccine Education Center's monthly newsletter, Vaccine Update

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Vaccinating Adults:
A Step-by-Step Guide
[link removed]
IAC's 142-page book available for free download ([link removed]) .

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Calendar of Events
[link removed]
Conferences, meetings, and training opportunities

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Patient Record Cards
[link removed]
Record cards for patients -- child & teen ([link removed]) , adult ([link removed]) , and lifetime ([link removed]) -- are printed on durable paper and sized to fit in a wallet when folded

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DVD: Immunization Techniques
[link removed]
Every practice should have this award winning, "how-to" training video

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Protect Newborns Guidebook

[link removed]
Comprehensive guide Hepatitis B: What Hospitals Need to Do to Protect Newborns ([link removed])

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Editorial Information
Editor
Deborah L. Wexler, MD (mailto:[email protected])
Managing Editor
Teresa Anderson, DDS, MPH (mailto:[email protected])
Consulting Editors
Marian Deegan, JD ([link removed])
Courtnay Londo, MA (mailto:[email protected])
Jane Myers, MA, EdM (mailto:[email protected])
Assistant Managing Editor
Liv Augusta Anderson, MPP (mailto:[email protected])

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Abbreviations
AAFP: American Academy of Family Physicians
AAP: American Academy of Pediatrics
ACIP: Advisory Committee on Immunization Practices
CDC: Centers for Disease Control and Prevention
FDA: Food and Drug Administration
IAC: Immunization Action Coalition
MMWR: Morbidity and Mortality Weekly Report
NCIRD: National Center for Immunization and Respiratory Diseases
VIS: Vaccine Information Statement
WHO: World Health Organization

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About IAC Express
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue. ([link removed])

If you have trouble receiving or displaying IAC Express messages, visit our online help section ([link removed]) .

IAC Express is supported in part by Grant No.
6NH23IP922550 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC. IAC Express is also supported by educational grants from the following companies: AstraZeneca, Inc.; Merck Sharp & Dohme Corp.; Pfizer, Inc.; and Sanofi Pasteur.

IAC Express Disclaimer ([link removed])
ISSN: 1526-1786

Our mailing address is
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